Ketorolac injection, 15 mg at Jefferson Moss-Magee Rehabilitation Hospital – Center City. CPT J1885.
What Jefferson Moss-Magee Rehabilitation Hospital – Center City publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$0.33cash price (self-pay)
$5.00list price
$0.29–$1.17range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare | JMR001 Medicare | $0.29 |
| Point of Comfort Refugee Resettlement | JMR001 | $0.29 |
| United Healthcare Rehabilitation | JMR001 Dual SNP | $0.29 |
| Keystone First | JMR001 Caid CHIP | $0.29 |
| Optum VA CCN | JMR001 VA CCN | $0.29 |
| United Healthcare Rehabilitation | JMR001 AARP | $0.29 |
| United Healthcare Rehabilitation | JMR001 Erikson | $0.29 |
| Geisinger Medicaid | JMR001 Caid | $0.29 |
| Innovage | JMR001 Medicare | $0.29 |
| Inspira Life | JMR001 Medicare | $0.29 |
| Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $0.29 |
| St Agnes | Medicare | $0.29 |
| Jefferson Health Plan Medicare | JMR001 Medicare | $0.29 |
| Devoted Health Participation | JMR001 Medicare | $0.30 |
| Cigna HealthSpring Medicare Adv | JMR001 Medicare | $0.30 |
| Keystone First VIP Choice | JMR001 Medicare | $0.30 |
| Highmark Medicare Advantage | JMR001 Medicare | $0.30 |
| PA Health and Wellness Medicare | JMR001 Medicare | $0.31 |
| Provider Partners Health Plan | JMR001 Medicare | $0.31 |
| United Healthcare Rehabilitation | JMR001 Medicare Adv | $0.31 |
| UPMC Medicare Advantage | JMR001 Medicare | $0.31 |
| Highmark Wholecare Gateway | JMR001 Medicare | $0.33 |
| Perennial | JMR001 Medicare | $0.33 |
| Geisinger Medicare Advantage | JMR001 Medicare | $0.33 |
| IBC Employee Benefit | JMR001 Commercial | $0.36 |
| IBC Main Line Health | JMR001 Commercial | $0.36 |
| PA Health and Wellness Commercial | JMR001 Exchange | $0.41 |
| NaphCare | JMR001 Commercial | $0.46 |
| NaphCare | JMR001 Comm FDC PHL | $0.54 |
| IBC | JMR001 Indemnity | $0.62 |
Inpatient
—cash price (self-pay)
—list price
$0.29–$1.17range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Innovage | JMR001 Medicare | $0.29 |
| St Agnes | Medicare | $0.29 |
| Horizon Medicare Blue | JMR001 Medicare | $0.29 |
| United Healthcare Rehabilitation | JMR001 AARP | $0.29 |
| United Healthcare Rehabilitation | JMR001 Dual SNP | $0.29 |
| Inspira Life | JMR001 Medicare | $0.29 |
| Optum VA CCN | JMR001 VA CCN | $0.29 |
| Point of Comfort Refugee Resettlement | JMR001 | $0.29 |
| Highmark Medicare Advantage | JMR001 Medicare | $0.30 |
| Cigna HealthSpring Medicare Adv | JMR001 Medicare | $0.30 |
| Devoted Health Participation | JMR001 Medicare | $0.30 |
| Highmark Wholecare Gateway | JMR001 Medicare | $0.31 |
| Geisinger Medicare Advantage | JMR001 Medicare | $0.33 |
| Perennial | JMR001 Medicare | $0.33 |
| IBC Main Line Health | JMR001 Commercial | $0.36 |
| IBC Employee Benefit | JMR001 Commercial | $0.36 |
| PA Health and Wellness Commercial | JMR001 Exchange | $0.43 |
| NaphCare | JMR001 Comm FDC PHL | $0.51 |
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All common services at Jefferson Moss-Magee Rehabilitation Hospital – Center City